Related Experiment Video
Updated: Jun 1, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Mechanisms of resistance to RAF inhibitors in melanoma
Andrew E Aplin1, Fred M Kaplan, Yongping Shao
1Department of Cancer Biology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. Andrew.Aplin@KimmelCancerCenter.Org
Abstract:
The recent RAF inhibitor trial with PLX4032/RG7204 in late-stage mutant B-RAF melanoma patients has been lauded as a success story for personalized cancer therapy since short-term clinical responses were observed in the majority of patients. However, initial responses were followed by subsequent tumor re-growth, and a subset of patients showed intrinsic resistance. Bi-directional translational efforts are now essential to determine the mechanisms underlying acquired/secondary and intrinsic resistance to RAF inhibitors.
Insights
RAF inhibitor therapy shows promise for melanoma but faces resistance. Further research is crucial to understand and overcome acquired and intrinsic resistance mechanisms in BRAF-mutant melanoma patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Personalized cancer therapy has advanced with targeted drugs like RAF inhibitors.
- PLX4032/RG7204 demonstrated short-term efficacy in late-stage BRAF-mutant melanoma.
- Tumor re-growth and intrinsic resistance limit long-term success of RAF inhibitors.
Purpose of the Study:
- To investigate the mechanisms of acquired and intrinsic resistance to RAF inhibitors in melanoma.
- To identify strategies for overcoming therapeutic resistance in BRAF-mutant melanoma.
Main Methods:
- Clinical trial data analysis of patients treated with PLX4032/RG7204.
- Translational research to explore molecular pathways involved in resistance.
Main Results:
- Initial positive responses to RAF inhibitors were followed by tumor relapse in most patients.
- A significant subset of patients exhibited intrinsic resistance to the therapy.
- Mechanisms of acquired and intrinsic resistance remain to be fully elucidated.
Conclusions:
- RAF inhibitors offer a promising avenue for personalized melanoma treatment but are hampered by resistance.
- Bi-directional translational research is essential to overcome resistance and improve patient outcomes.
More Related Videos
Related Concept Videos
MAPK Signaling Cascades
Treatment Resistant Cancers
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Inhibition of Cdk Activity
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...

